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Previous issue date: 2010-11-08 / The objective of this work which is characterized as an applied research, with a qualitative
exploratory approach and has case study character has been the analysis of the conceptions
and dealings of health professionals of SAMU in Natal RN about the attendance of
psychiatric urgencies. The information was collected between the months of March and April
of 2010, by means of semi-structured interviews, performed with 24 health professionals
integrating of SAMU-Natal as well as the usage of direct observation technique, performed in
the institution's medical regulation room. Both the number of professionals involved in the
interviews and the bringing about of the observations, were determined by saturation methods
in qualitative research's information collecting. The interviews and observations were
transcribed and submitted to contents analysis technique , more specifically, to thematic
analysis, which made possible to reach the deepest levels, that go beyond what has simply
been manifest in the speech of the interviewed, getting to the relations among the categories
and social structures of the issue of the research. Keeping this in mind, three analysis
categories have been built, namely: conceptions and concepts of psychiatric urgencies shared
by health professionals in SAMU-Natal; attendances to psychiatric urgencies in SAMU-Natal;
and the Brazilian Psychiatric Reformation under the view of the SAMU-Natal's health
professionals. Reflection about the analyzed information revealed discussions pertaining to
the stigma and prejudice on mental illness, and also, pointed out to some hindrances which
impair the attendance to individuals in mental suffering in SAMU-Natal. The interviewed
health professionals' conceptions on the individual in psychical crisis involve concepts of
unpredictability, aggressiveness and risk, stigmatizing elements and historically associated to
the social hazard ideology and need for mentally sicks' segregation. The predominance of
these conceptions, seen in health professionals speech, had identifiable reflexes on assistance
to psychiatric demands performed by SAMU-Natal, namely: indiscriminate request for
military police's presence during psychic crisis intervention, neglect about occasions that
involve mental health patients, as well as repetitive assisting practice directed on physical
contention, and transportation to psychiatric hospital. Associated to it, the professionals have
shown distorted and reductionist understanding about Brazilian Psychiatric Reformation, and,
in the majority, haven't lent credibility to present model of attention to mental health, based
on psycho-social treatment, pointing their speech to a need for psychiatric patient's
internment. In this sense, we notice that the hospital-centered and excluding model conceived
by classical psychiatry still remains alive in these health professionals' mentality as a
reference to psychiatric urgency's assistance. Therefore, the research revealed a sequence of
elements, that make us think about the challenges that health sector and society must face to
realize Brazilian Psychiatric Reformation's principles and guidelines / O objetivo desse trabalho, caracterizado como uma pesquisa aplicada, de abordagem
qualitativa, explorat?ria e do tipo estudo de caso, foi analisar as concep??es e pr?ticas dos
profissionais de sa?de do SAMU de Natal-RN sobre o atendimento ?s urg?ncias psiqui?tricas.
As informa??es foram coletadas entre os meses de mar?o e abril de 2010, por meio de
entrevistas semi-estruturadas realizadas com 24 profissionais de sa?de lotados no SAMUNatal
e da utiliza??o da t?cnica da observa??o direta, feita na sala de regula??o m?dica da
institui??o. Tanto o n?mero de profissionais participantes nas entrevistas quanto o tempo de
realiza??o das observa??es foram determinados pelo m?todo da satura??o na coleta de
informa??es em pesquisas qualitativas. As entrevistas e observa??es foram transcritas e
submetidas ? t?cnica da an?lise de conte?do, mais especificamente, da an?lise tem?tica, o que
possibilitou o alcance de n?veis mais profundos, que ultrapassaram o que foi simplesmente
manifesto nas falas, atingindo a rela??o entre as categorias e estruturas sociais do problema de
pesquisa. Diante disso, foram constru?das tr?s categorias de an?lise, a saber: concep??es e
conceitos de urg?ncia psiqui?trica dos profissionais de sa?de do SAMU Natal; a assist?ncia
?s urg?ncias psiqui?tricas no SAMU-Natal; e a Reforma Psiqui?trica brasileira sob o olhar dos
profissionais de sa?de do SAMU de Natal-RN. A reflex?o sobre as informa??es analisadas
revelaram discuss?es a respeito do estigma e preconceito sobre a doen?a mental, bem como,
apontaram para alguns entraves que prejudicam a assist?ncia ao sujeito em sofrimento mental
no SAMU-Natal. As concep??es sobre o sujeito em crise ps?quica dos profissionais de sa?de
entrevistados envolvem os conceitos de imprevisibilidade, agressividade e do risco, elementos
estigmatizantes e historicamente associados ? ideologia da periculosidade social e necessidade
de segrega??o do doente mental. O predom?nio dessas concep??es, no discurso dos
profissionais de sa?de, tem reflexos identific?veis na assist?ncia prestada pelo SAMU-Natal
?s demandas psiqui?tricas, na qual se destacam: a solicita??o indiscriminada da pol?cia militar
durante as interven??es em crise ps?quica, a neglig?ncia com as ocorr?ncias que envolvem
pacientes de sa?de mental, bem como, a pr?tica assistencial repetitiva e direcionada ?
conten??o f?sica, medica??o e ao transporte para hospital psiqui?trico. Associado a isso, os
profissionais demonstraram compreens?es deturpadas e reducionistas da Reforma Psiqui?trica
brasileira e, em sua maioria, n?o deram credibilidade ao atual modelo de aten??o ? sa?de
mental pautado no tratamento psicossocial, remetendo suas falas ? necessidade de
internamento dos pacientes psiqui?tricos. Nesse sentido, percebemos que o modelo
hospitaloc?ntrico e excludente concebido pela psiquiatria cl?ssica ainda permanece vivo no
ide?rio desses profissionais como refer?ncia para a assist?ncia ?s urg?ncias psiqui?tricas.
Portanto, a pesquisa revelou uma s?rie de elementos que nos fazem pensar a respeito dos
desafios que o setor sa?de e a sociedade ainda precisam enfrentar para concretizar os
princ?pios e diretrizes da Reforma Psiqui?trica brasileira
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14709 |
| Date | 08 November 2010 |
| Creators | Bonfada, Diego |
| Contributors | CPF:91643902415, http://lattes.cnpq.br/8942333851163376, Dias, Marcelo Kimati, CPF:15002709893, http://lattes.cnpq.br/1309888154789218, Macedo, Maur?cio Roberto Campelo de, CPF:43006698720, http://lattes.cnpq.br/3673586188321966, Medeiros, Soraya Maria de, CPF:20018096468, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4760209A3&dataRevisao=null, Guimar?es, Jacileide |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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